WO2000064364A1 - Dispositif de fixation pour la correction de malformations vertebrales, sans fusion des vertebres - Google Patents

Dispositif de fixation pour la correction de malformations vertebrales, sans fusion des vertebres Download PDF

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Publication number
WO2000064364A1
WO2000064364A1 PCT/US2000/007899 US0007899W WO0064364A1 WO 2000064364 A1 WO2000064364 A1 WO 2000064364A1 US 0007899 W US0007899 W US 0007899W WO 0064364 A1 WO0064364 A1 WO 0064364A1
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WO
WIPO (PCT)
Prior art keywords
strand
blocks
connectors
spine
block
Prior art date
Application number
PCT/US2000/007899
Other languages
English (en)
Inventor
Christof Hopf
Troy D. Drewry
Michael C. Sherman
Original Assignee
Sdgi Holdings, Inc.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Sdgi Holdings, Inc. filed Critical Sdgi Holdings, Inc.
Priority to AU39194/00A priority Critical patent/AU764563B2/en
Priority to EP00918370A priority patent/EP1173101B1/fr
Priority to JP2000613359A priority patent/JP4245816B2/ja
Priority to DE60024074T priority patent/DE60024074T2/de
Priority to AT00918370T priority patent/ATE309754T1/de
Priority to CA002365899A priority patent/CA2365899C/fr
Publication of WO2000064364A1 publication Critical patent/WO2000064364A1/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002—Longitudinal elements, e.g. rods
    • A61B17/7019—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other
    • A61B17/7022—Tethers, i.e. longitudinal elements capable of transmitting tension only, e.g. straps, sutures or cables
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B17/0642—Surgical staples, i.e. penetrating the tissue for bones, e.g. for osteosynthesis or connecting tendon to bone
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/4455—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7044—Screws or hooks combined with longitudinal elements which do not contact vertebrae also having plates, staples or washers bearing on the vertebrae
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00867—Material properties shape memory effect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0647—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
    • A61B2017/0648—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks threaded, e.g. tacks with a screw thread
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B2017/7073—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant with intervertebral connecting element crossing an imaginary spinal median surface
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/4455—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
    • A61F2/446—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages having a circular or elliptical cross-section substantially parallel to the axis of the spine, e.g. cylinders or frustocones
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/4455—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
    • A61F2/4465—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages having a circular or kidney shaped cross-section substantially perpendicular to the axis of the spine
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30593—Special structural features of bone or joint prostheses not otherwise provided for hollow

Definitions

  • Juvenile idiopathic scoliosis occurs between the ages of 4 and 10 years. It can resolve spontaneously, respond to nonoperative therapy, or progress until fusion is required. Stapling across long bone physes has long been recognized as a predictable method of treating limb malalignment. Vertebral interbody stapling across the cartilaginous endplates and discs was attempted by Nachlas and Borden in a canine scoliosis model. Early human results in the 1950s were disappointing. Roaf reported limited successful correction of scoliosis by uninstrumented convex hemiepiphysiodesis. His study did not have a uniform patient population by skeletal maturity or scoliosis etiology.
  • One embodiment of the invention is a device for restraining growth in a spine having a convex side and a concave side.
  • the device comprises a strand, at least two blocks and a plurality of fasteners.
  • Each block has a top surface, bottom surface and a first and second set of opposing side surfaces.
  • the block is oriented on the spine so that the first set of side surfaces are located on an anterior part and a posterior part respectively of the spine.
  • the block has a generally curved shape in a transverse direction from the anterior part to the posterior part corresponding to the antero-lateral anatomy of vertebral bodies.
  • the bottom surface of the block is configured to contact a vertebral body.
  • At least one fastener connects each block to at least one vertebra on the convex side of the spine.
  • Each block has at least one channel for receiving the strand.
  • Each block also has at least one bore extending between the top and bottom surfaces of the block. The bore receives one of the fasteners which connect the block to a vertebral body.
  • FIG. 1 is a perspective view of an embodiment of a tether of the present invention including a set of blocks and fasteners with a strand threaded through channels in the blocks.
  • FIG. 2 is a side view of the embodiment of FIG. 1
  • FIG. 3 is a top view of an alternative to the embodiment of FIG. 1 where the strand is an adjustable spinal tether in a figure eight configuration.
  • FIG. 4 is a top view of an alternative to the embodiment of FIG. 3 with the tether in a straight loop configuration.
  • FIG. 5 is a perspective view of another embodiment in which the channels open through the top surface of the blocks.
  • FIG. 6A is a schematic illustration of the embodiment of FIG. 1 attached to vertebral bodies on the convex side of a child's scoliotic spine.
  • FIG. 6B is a schematic illustration of an alternative embodiment of FIG. 6A where the strand is knotted in between the blocks.
  • FIG. 7A is a schematic illustration of the embodiment of FIG. 3 attached to vertebral bodies on the convex side of a spine.
  • FIG. 7B is a schematic illustration of an alternative embodiment of
  • FIG. 7A where the adjustable strand is crimped in between the blocks.
  • FIG. 8A is a cross-sectional view of one embodiment of the interconnection between the fasteners and the blocks.
  • FIG. 8B is a cross-sectional view of another embodiment of the interconnection between the fasteners and the blocks having a screw back- out mechanism.
  • FIG. 9 is a cross-sectional view of another embodiment of the interconnection between the fasteners and the blocks.
  • FIG. 10A is a side view of another embodiment of a block.
  • FIG. 10B is a top view of the embodiment of the block of FIG. 10A.
  • FIG. 10C is another side view of the embodiment of the block in FIG. 10A.
  • FIG. 10D is a perspective view of the embodiment of the block of FIG. 10A.
  • FIG. 10E is another top view of FIG. 10A illustrating further detail of the embodiment of the block.
  • FIG. 10F is a cross-sectional view along the line 10F in FIG. 10E.
  • FIG. 10G is another cross-sectional view of FIG. 10E along the line 10G.
  • FIG. 10H is another side view of the embodiment of FIG. 10A illustrating further detail.
  • FIG. 101 is a cross-sectional view of FIG. 10H along the lines 101.
  • Various devices and surgical approaches are possible to implement the underlying idea of this invention. That idea is the correction of spinal deformities, particularly scoliosis, through fusionless tethering.
  • the correction of the deformity is achieved by attaching a tether to the vertebral bodies on the convex side of the spine. This tether will minimize or arrest growth on the convex or "long" side of the spine and allow the concave or "short” side of the spine to grow and catch up with the long side.
  • fusionless tethering may treat abnormal spinal alignment by simply preventing further misalignment such as curve progression.
  • a wide variety of surgical approaches may be used in implementing tethering of the convex side. One approach is an open thoracotomy (standard).
  • Another surgical approach contemplated is a minimally invasive thoracoscopic approach (endoscopic).
  • the surgical approach may also be a combined anterior/posterior approach (standard or endoscopic). It should be understood that the invention can be practiced using other surgical approaches known to persons of ordinary skill in the art.
  • the tether used to selectively constrain growth will include at least one longitudinal element and one anchor with an interconnection between the longitudinal element and the anchor.
  • the longitudinal element and the anchor may be one and the same.
  • the following discusses generally some of the types of apparatus that may be used. Additionally, it should be understood that most, if not all, of the longitudinal elements or anchors may be manufactured from, but are not limited to, conventional implant metals, such as stainless steel or titanium. It should be further understood, and will be discussed in some detail for particular embodiments, that the longitudinal elements and anchors may take advantage of the shape memory and superelastic characteristics of shape memory materials including, for example, a shape memory alloy ("SMA”) such as nickel titanium.
  • SMA shape memory alloy
  • a list of potential longitudinal elements includes, but is not limited to, staples, cables, artificial strands, rods, plates, springs, and combinations of devices from the foregoing list. Details of each individual element will be discussed briefly.
  • the longitudinal element may be a spinal staple formed in a variety of shapes and sizes depending on its application. Staples may act as either the longitudinal element, the anchor, or both. These staples may be manufactured from conventional implant metal, such as stainless steel or titanium. In one preferred embodiment, however, the staples are manufactured out of shape memory materials or alloys such as nickel titanium to enhance fixation. One example of such an alloy is Nitinol sold by Memry Corporation of Menlo Park, California. Further details of preferred use, size, and material selection for the spinal staple may be found in copending patent application USSN 09/421 ,903, entitled “Shape Memory Alloy Staple" filed on October 20, 1999 and commonly assigned to the assignee of the present application, the disclosure of which is incorporated herein by reference.
  • the use of artificial or synthetic strands may potentially add additional flexibility and motion to this fusionless tethering procedure.
  • the artificial strand may be manufactured from a braided polymer rope.
  • the artificial strand will be an adjustable spinal tether. Details of various embodiments of the adjustable spinal tether may be found in provisional patent application USSN 60/130,910, entitled “Adjustable Spinal Tether” filed on April 23, 1999 and commonly assigned to the assignee of the present application, the disclosure of which is incorporated herein by reference.
  • Such an artificial strand is preferably (but not necessarily) used in conjunction with a block similar or identical to various embodiments of the "Hopf blocks" disclosed in United States Patent No.
  • the artificial strand may be utilized for fusionless tethering in a variety of manners. These include, but are not limited to, being attached to or around anchors such as screws and staples. It is further contemplated as within the scope of the invention that the artificial strand may also act as both the longitudinal element and the anchor by being secured directly around the vertebrae to be tethered.
  • the longitudinal element is a flexible rod. These could be manufactured of small diameter and/or flexible material such as a super elastic SMA. In a similar manner plates may be used as a longitudinal element. The plates can be used with or without slots allowing implants to slide. Another possible choice is a spring. Springs have been used historically in spinal instrumentation and could form the longitudinal element. Again, to reiterate, it should be understood that combinations of any or all of the above may be used as a longitudinal element when deemed appropriate.
  • staples and artificial strands being possible exceptions, will need to be anchored to the vertebral bodies in order to effectively tether them.
  • anchors are contemplated.
  • staples can be both anchors as well as longitudinal elements since they possess the characteristics of both.
  • These staples can be either conventional or a SMA as stated above.
  • scaled up suture anchor type products are available to fix to soft cancellous bone such as that found in a vertebral body.
  • screw down fixation plates, posts, etc. as are known to those of ordinary skill in the art, may be used as anchors.
  • Another potential anchor is an expandable screw.
  • Examples include Mollie bolt type implants that are initially screwed into the vertebral body and expand through some mechanism. It is again possible to take advantage of the properties of shape memory materials to accomplish the expansion mechanism.
  • Conventional screws and bone screws may also serve as anchors. These screws may be coated with any number of osteoinductive or osteoconductive materials to enhance fixation as desired.
  • the selection of the longitudinal elements and anchors from those previously discussed and others known in the art also leaves possible the selection of a wide variety of interconnections between the two. Once the anchors are in place, their connection to the longitudinal elements can be governed by a number of different parameters. They could be constrained or unconstrained connections; the anchor could be allowed to slide along the longitudinal element or articulate with it, as in the case of a ball joint, or even float within some neutral zone. Several scenarios are envisioned.
  • the first is constrained. This would involve constrained interconnection scenarios between all anchors and longitudinal elements.
  • the second is un-constrained. This would involve simple connections in which no significant restrictions exist between the longitudinal element and the anchor.
  • An example is an artificial strand band around a post, or a screw through an artificial strand ribbon.
  • the third scenario is ends constrained with middle elements un- constrained.
  • the construct would possess constrained interconnections between the end anchors and the longitudinal elements with unconstrained interconnections in between. These unconstrained interconnections could be either sliding situations or ball joint situations.
  • the fourth scenario is ball joint interconnections. Ball joints represent a semi-constrained situation in which the anchor cannot slide up or down the longitudinal element, but can articulate within some spherical range of motion. It should be understood that combinations of any or all of the above may be used as appropriate in practicing the present invention.
  • the above disclosure deals specifically with the broad range of device concepts envisioned for fusionless tethering of deformities in order to achieve permanent correction.
  • the specifics with regard to the method are similarly broad.
  • a wide range of spinal deformities could be managed.
  • the primary indications will be progressive idiopathic scoliosis with or without sagittal deformity in either infantile or juvenile patients.
  • the preferred patient population upon which to practice the present invention is prepubescent children (before growth spurt) less than ten years old.
  • Other patient groups upon which the present invention may be practiced include adolescents from 10-12 years old with continued growth potential. It should be understood that fusionless tethering may be used on older children whose growth spurt is late or who otherwise retain growth potential.
  • fusionless tethering may also find use in preventing or minimizing curve progression in individuals of various ages.
  • tethering will take place on the convex side of the curve.
  • An anterior, minimally invasive (thoracoscopic) procedure can be carried out on the convex side of the spinal curve in order to prevent continued growth on that side of the curve.
  • the untethered side of the spine will grow unconstrained, ultimately eliminating the curvature of the spine in the frontal plane. It is preferable to deliver this method of treatment in a minimally invasive approach using thoracoscopic instrumentation.
  • fusionless correction of scoliosis is achieved by thoracoscopically placing shape memory alloy staples into the vertebral bodies on the convex side of the spine.
  • the staples will span the intervertebral space and act as a tether on the spine. This tether will arrest growth on the convex ("long") side of the spine and allow the concave ("short") side of the spine to grow and catch up with the long side.
  • the staple may then be removed thoracoscopically if desired. The removal of the staples permits further growth of the vertebral bodies. It should be understood that the method described is equally applicable in non-endoscopic procedures.
  • the staples used may be made of a conventional implant metal such as titanium or stainless steel instead of a SMA. Further details regarding the method of using spinal staples for the fusionless correction of scoliosis as well as details regarding the staples themselves may be found in U. S. provisional application entitled “Device and Method for the Correction of Spinal Deformities Through Vertebral Body Tethering Without Fusion” USSN 60/130,909 filed April 23, 1999 and U. S. application entitled “Shape Memory Alloy Staple” USSN 09/421 ,903 filed October 20, 1999. Animal studies are currently ongoing comparing the utility of spinal staples versus a device using the blocks and strands discussed in more detail below.
  • one embodiment includes a set of three blocks with corresponding fasteners and a synthetic strand or cable threaded through channels in the blocks is shown. It should be understood that anywhere from two to greater than five blocks may be used. In one preferred embodiment the number of blocks is three.
  • Each block 10 has a top surface 11 and a bottom surface 12 along with first and second sets of opposing side surfaces. The block 10 is oriented so that in the first set, side surfaces 13, 14 are located on an anterior and a posterior part respectively of the spine (see also FIGS. 6 and 7).
  • the block 10 has a generally curved shape in a transverse direction from the anterior surface 13 to the posterior surface 14 corresponding to the antero-lateral anatomy of vertebral bodies.
  • each block 10 has a second set of side surfaces 15, 16 which are oriented substantially upward and downward along the longitudinal axis S k of the spine (see FIGS. 6 and 7).
  • the upper surface 15 and lower surface 16 of each block 10 define at least one opening or channel for receiving synthetic strand 38.
  • the channel must either have a post or divider somewhere along its length around which the strand 38 is wrapped or else the strand 38 may be threaded through the channel and around either the top surface 11 or bottom surface 12 of each block 10.
  • each block 10 has two substantially parallel channels, an anterior channel 20 and a posterior channel 21.
  • Anterior channel 20 and posterior channel 21 extend in a direction along a line connecting upper surface 15 and lower surface 16. It is contemplated as within the scope of the invention that anterior channel 20 and posterior channel 21 may extend in different directions and/or be curved in between upper surface 15 and lower surface 16. It is further contemplated as within the scope of the invention that anterior channel 20 and posterior channel 21 may be at an angle with respect to either or both of upper surface 15 and lower surface 16. Moreover, channels 20 and 21 may both be closer to anterior surface 13 than posterior surface 14 or vice versa. Selection of various channel orientations permits configurations for the synthetic strand other than the figure eight or straight loop configuration discussed below.
  • each block 10 further defines at least one bore extending between top surface 11 and bottom surface 12.
  • Each block 10 may have one or more bores for receiving a fastener to connect each block to a vertebral body.
  • block 10 has two bores, an anterior bore 22 and a posterior bore 23. It should be understood that each block 10 may have only one bore or more than two depending on the number of fasteners a surgeon wishes to use to attach each block to a vertebral body.
  • Each bore 22, 23 extends between the top surface 1 1 and bottom surface 12 of block 10. Bores 22, 23 are defined in block 10 with dimensions such that each bore may receive one of the fasteners used to attach the block 10 to the vertebral body.
  • the bottom portion of bores 22, 23 near bottom surface 12 are preferably sized to snugly receive the heads 32, 33 of fasteners 30, 31.
  • bore 22 has a top portion 22a and bottom portion 22b.
  • bore 23 has a top portion 23a and a bottom portion 23b.
  • Top portions 22a and 23a are preferably (but not necessarily) tapered for facilitating insertion of fasteners 30, 31 through bores 22, 23 respectively.
  • the head 32 of fastener 30 has a top portion 32a with a notch therein for receiving a driving mechanism and a bottom portion 32b configured to engage the bottom portion 22b of bore 22.
  • the head 33 of fastener 31 has a top portion 33a with a notch therein for receiving a driving mechanism and a bottom portion 33b configured to engage the bottom portion 23b of bore 23.
  • FIG. 8B an alternative embodiment is shown with a mechanism to aid in the prevention of screw back out.
  • bore 122 has a top portion 122a and bottom portion 122b.
  • bore 123 has a top portion 123a and a bottom portion 123b.
  • Top portions 122a and 123a are preferably (but not necessarily) tapered for facilitating insertion of fasteners 130, 131 through bores 122, 123 respectively.
  • the head 132 of fastener 130 has a top portion 132a with a notch therein for receiving a driving mechanism and a bottom portion 132b configured to engage the bottom portion 122b of bore 122.
  • the head 133 of fastener 131 has a top portion 133a with a notch therein for receiving a driving mechanism and a bottom portion 133b configured to engage the bottom portion 123b of bore 123.
  • the head 132 of fastener 130 has external threading 132c defined thereon which engages threading 122c defined in bore 122 and aids in the prevention of screw back out.
  • the head 133 of fastener 131 has threading 133c defined on the head 133 which engages threading 123c defined in bore 123.
  • bores 22, 23 may also be sized to loosely receive heads 32 and 33.
  • the bottom portion of bores 22, 23 and heads 32, 33 may both be shaped for ball and socket interconnection allowing the pivoting or swiveling of the connecting portion of fasteners 30, 31 relative to each block 10.
  • the bottom portions 32b', 33b' of heads 32,33 are hemispherical as are the bottom portions 22b', 23b'.
  • the top portions 22a, 23a are preferably tapered to facilitate insertion of the fasteners through the bores.
  • the bores 22, 23 and heads 32, 33 may be shaped for engagement such that the angle of the fasteners 30, 31 with respect to each other and the block 10 is substantially fixed. It should be understood that in either case, it may be desirable in some situations to use a screw back out system as described with reference to FIG. 8B or others known in the art.
  • bore 22 intersects with channel 20 and bore 23 intersects channel 21. It should be understood, however, that the bores 22, 23 need not intersect channels 20, 21. In the embodiment where the bores 22, 23 intersect the channels 20, 21 , each bore is preferably defined in such a manner that the top of heads 32, 33 of fasteners 30, 31 are not within channels 20, 21 when fasteners 30, 31 are in the bottom portion of bores 22, 23 (see FIGS. 3, 6, and 7). As a result, strand or cable 38 is unobstructed when threaded through channels 20, 21.
  • the artificial strand 38 may be a strand with two ends tied or spliced together (see FIGS. 6A and 6B).
  • the artificial strand 38 may be made of any suitable biocompatible material such as stainless steel or titanium or a polymer such as polyester or polyethylene.
  • FIG. 3 another embodiment has adjustable spinal tether 40 threaded through the channels 20, 21 of blocks 10.
  • Adjustable spinal tether 40 has a strand or cable portion 39 having a first end 41 and a second end 42. First end 41 ends in a leader 43 for ease of threading adjustable spinal tether 40 through the channels 20, 21 in blocks 10.
  • the leader 43 may be an extrusion of first end 41 or may be otherwise affixed onto first end 41 by press fitting, adhesive, or other means known in the art. Details of various embodiments of the adjustable spinal tether construction may be found in the above mentioned patent application titled "Adjustable Spinal Tether.”
  • Second end 42 may be wrapped around or otherwise attached to a grommet 44.
  • the adjustable spinal tether may have second end 42 looped around on itself to form an eyelet (not shown) without the need for a grommet.
  • the leader 43 and first end 41 are threaded through grommet 44 and crimp 45 attached to the grommet 44.
  • Crimp 45 has external threading 47 matching internal threading (not shown) on lock nut 46.
  • Lock nut 46 is tightened down on crimp 45 to secure crimp 45 on strand or cable 39 when the appropriate length is threaded through the channels 20, 21 of blocks 10 and drawn taut. The excess length of strand 39 may then be trimmed off above crimp 45.
  • blocks 10 are shown with like elements labeled as previously. Blocks 10' have anterior channel 20' and posterior channel 21 '. In this embodiment anterior channel 20' and posterior channel 21 ' extend between upper surface 15' and lower surface 16' as well as up through top surface 1 1 '.
  • anterior channel 20' and posterior channel 21 ' are defined such that the portion nearer to bottom surface 12 is slightly offset from that defined in top surface 1 1 '.
  • the channels 20', 21 ' in blocks 10' permit the synthetic strand 38 to be inserted into blocks 10' through top surface 1 1 '. Since channels 20', 21 ' have a slightly offset region nearer to the bottom surface 12, when synthetic strand 38 is drawn taut it is secured within the channels and will not slip out through top surface 11 '.
  • blocks 10 are shown attached to vertebral bodies 60 with artificial strand 38 spanning intervertebral discs 61.
  • the ends of strand 38 are shown tied together in a knot 65.
  • knot 65a may be tied in an intermediate location between two of the vertebral blocks 11 as opposed to knot 65 as seen in FIG. 6A.
  • blocks 10 are again shown attached to vertebral bodies 60.
  • the intervertebral discs 61 are spanned by an artificial strand 39 which is part of adjustable spinal tether 40.
  • the crimp 45 may be at an intermediate location between blocks.
  • the arrow S parallels the longitudinal axis of the spinal column made up of vertebral bodies and intervertebral discs.
  • Each block 510 has a top surface 51 1 , a bottom surface 512, intermediate surfaces 551 , 552, and first and second sets of opposing side surfaces.
  • the block 510 is oriented so that the first set of side surfaces 513a, 513b, and 514a, 514b are located on an anterior and a posterior part respectively of the spine (similar to side surfaces 13 and 14 in FIGS. 6 and 7).
  • the first set of side surfaces includes an upper anterior side surface 513a and a lower anterior side surface 513b and an upper posterior side surface 514a and lower posterior side surface 514b.
  • the block 510 has a generally curved shape in a transverse direction from the lower anterior surface 513b to the lower posterior surface 514b corresponding to the antero-lateral anatomy of vertebral bodies.
  • the bottom surface 512 is preferably (but not necessarily) configured to contact the vertebral body.
  • Each block 510 has a second set of side surfaces 515, 516 which are oriented to face substantially upward and downward along the longitudinal axis of the spine, similar to side surfaces 15, 16 in FIGS. 6 and 7.
  • the upper surface 515 and lower surface 516 of each block 510 define at least one opening or channel for receiving a synthetic strand or adjustable spinal tether.
  • the channel must either have a post or divider somewhere along its length around which the strand or adjustable spinal tether is wrapped or, alternatively, the strand or adjustable spinal tether may be threaded through the channel and around either the top surface 511 or bottom surface 512 of each block 510.
  • each block 510 has two substantially parallel channels, an anterior channel 520 and a posterior channel 521.
  • Anterior channel 520 and posterior channel 521 extend in a direction along a line connecting upper surface 515 and lower surface 516. It is contemplated as within the scope of the invention that anterior channel 520 and posterior channel 521 may extend in different directions and/or be curved in between upper surface 515 and lower surface 516. It is further contemplated as within the scope of the invention that anterior channel 520 and posterior channel 521 may be at an angle with respect to either or both of upper surface 515 and lower surface 516. Moreover, channels 520 and 521 may both be closer to anterior surface 513 than posterior surface 514 or vice versa.
  • each block 510 further defines at least one bore extending between top surface 511 and bottom surface 512.
  • Each block 510 may have one or more bores for receiving a fastener or connect each block to a vertebral body.
  • block 510 has two bores, an anterior bore 522 and a posterior bore 523.
  • each block 510 may have only one bore or more than two depending on the number of fasteners a surgeon wishes to use to attach each block to a vertebral body.
  • Each bore 522, 523 extends between the top surface 511 and bottom surface 512 of block 510. Bores 522, 523 are defined in block 510 with dimensions such that each bore may receive one of the fasteners used to attach the block 510 to the vertebral body.
  • the bores of this embodiment of the anterior block may include features similar to those described in the previous embodiment and shown in FIGS. 8 and 9.
  • the bores may have tapered surfaces for facilitating insertion of fasteners, may be shaped for a ball and socket interconnection, may have matching threading on the head of a fastener to prevent screw back out and the bores may be arranged in a variety of angles with respect to each other.
  • length 530 is 6mm
  • length 531 is 6.7mm
  • length 532 is 2.33mm
  • angle 533 is 30 degrees
  • angle 534 is 20 degrees.
  • length 535 is 17.82mm
  • length 536 is 19.16mm
  • length 537 is 26.39mm
  • angles 538a and 538b are both preferably 20 degrees.
  • length 539 is 15mm
  • length 540 is 7.5mm
  • length 541 is 15mm.
  • length 542 is 10.5mm
  • 543 is 4.5mm.
  • length 544 is 10.6mm
  • length 545 which defines the diameter of bore 523 at one point is 6.4mm
  • length 546 is 20
  • length 547 which defines the diameter of the bore at one point, is 6mm
  • length 548 which defines the minimum diameter of the bore is 5.05mm
  • angle 549 is five degrees.
  • length 560 is 8.4mm
  • length 563 is 7mm
  • angle 564 is 15 degrees
  • angle 565 is 10 degrees.
  • length 570 is 3.1mm
  • length 571 is 7mm
  • length 572 is 12mm
  • angle 573 is 10 degrees.
  • length 574 is 4.53mm
  • length 575 is 1mm
  • length 576 is 16.85mm
  • length 577 is 11.35mm
  • length 578 is 7.5mm
  • length 579 is 3.53mm
  • length 580 is 2mm
  • length 581 is 11.85mm
  • length 582 is 17.35mm
  • angles 583 and 584 are both 20 degrees.
  • this embodiment of a block may be used in various manners similar or identical to those shown in FIGS. 1-7 with an artificial strand or adjustable tether.
  • the advantages of this embodiment include the reduction in the amount of volume and the amount of metal. By essentially removing portions of what was a previously rectangular cross section, this embodiment of the block has a lower profile and is less bulky.

Abstract

L'invention concerne une méthode de traitement sans fusion des vertèbres de malformations de la colonne vertébrale d'un enfant ou d'un jeune adulte. Ladite méthode consiste à fixer un dispositif de fixation aux corps vertébraux du côté convexe de la colonne. Les malformations sont traitées au moyen de la fixation, de sorte que la croissance soit freinée dans une partie du côté convexe de la colonne vertébrale. Un dispositif pour la fixation de la colonne, est constitué d'une combinaison d'un fil (38) enfilé dans des canaux (20, 21) définis dans un ensemble de blocs (10) fixés aux corps vertébraux du côté convexe de la colonne.
PCT/US2000/007899 1999-04-23 2000-03-24 Dispositif de fixation pour la correction de malformations vertebrales, sans fusion des vertebres WO2000064364A1 (fr)

Priority Applications (6)

Application Number Priority Date Filing Date Title
AU39194/00A AU764563B2 (en) 1999-04-23 2000-03-24 Tethering device for fusionless spinal deformity correction
EP00918370A EP1173101B1 (fr) 1999-04-23 2000-03-24 Dispositif de fixation pour la correction de malformations vertebrales, sans fusion des vertebres
JP2000613359A JP4245816B2 (ja) 1999-04-23 2000-03-24 脊柱の湾曲の成長及び／又は湾曲の進行を抑制する装置
DE60024074T DE60024074T2 (de) 1999-04-23 2000-03-24 Haltevorrichtung zur korrektur von wirbelsäulendeformationen ohne fusion
AT00918370T ATE309754T1 (de) 1999-04-23 2000-03-24 Haltevorrichtung zur korrektur von wirbelsäulendeformationen ohne fusion
CA002365899A CA2365899C (fr) 1999-04-23 2000-03-24 Dispositif de fixation pour la correction de malformations vertebrales, sans fusion des vertebres

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US13090999P 1999-04-23 1999-04-23
US60/130,909 1999-04-23
US09/421,990 1999-10-20
US09/421,990 US6296643B1 (en) 1999-04-23 1999-10-20 Device for the correction of spinal deformities through vertebral body tethering without fusion

Publications (1)

Publication Number Publication Date
WO2000064364A1 true WO2000064364A1 (fr) 2000-11-02

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Application Number Title Priority Date Filing Date
PCT/US2000/007899 WO2000064364A1 (fr) 1999-04-23 2000-03-24 Dispositif de fixation pour la correction de malformations vertebrales, sans fusion des vertebres

Country Status (9)

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US (1) US6296643B1 (fr)
EP (1) EP1173101B1 (fr)
JP (1) JP4245816B2 (fr)
AT (1) ATE309754T1 (fr)
AU (1) AU764563B2 (fr)
CA (1) CA2365899C (fr)
DE (1) DE60024074T2 (fr)
ES (1) ES2251986T3 (fr)
WO (1) WO2000064364A1 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7909826B2 (en) 2005-03-24 2011-03-22 Depuy Spine, Inc. Low profile spinal tethering methods
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft

Families Citing this family (224)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6436099B1 (en) * 1999-04-23 2002-08-20 Sdgi Holdings, Inc. Adjustable spinal tether
US6299613B1 (en) 1999-04-23 2001-10-09 Sdgi Holdings, Inc. Method for the correction of spinal deformities through vertebral body tethering without fusion
JP3771492B2 (ja) * 1999-07-07 2006-04-26 チルドレンズ ホスピタル メディカル センター 脊椎矯正システム
US6423065B2 (en) * 2000-02-25 2002-07-23 Bret A. Ferree Cross-coupled vertebral stabilizers including cam-operated cable connectors
US20020133155A1 (en) * 2000-02-25 2002-09-19 Ferree Bret A. Cross-coupled vertebral stabilizers incorporating spinal motion restriction
US6293949B1 (en) 2000-03-01 2001-09-25 Sdgi Holdings, Inc. Superelastic spinal stabilization system and method
US6402750B1 (en) * 2000-04-04 2002-06-11 Spinlabs, Llc Devices and methods for the treatment of spinal disorders
JP4504617B2 (ja) 2000-06-23 2010-07-14 ユニバーシティ オブ サザン カリフォルニア 経皮的椎骨癒合システム
US6899713B2 (en) 2000-06-23 2005-05-31 Vertelink Corporation Formable orthopedic fixation system
US6964667B2 (en) 2000-06-23 2005-11-15 Sdgi Holdings, Inc. Formed in place fixation system with thermal acceleration
US6875212B2 (en) 2000-06-23 2005-04-05 Vertelink Corporation Curable media for implantable medical device
FR2812185B1 (fr) 2000-07-25 2003-02-28 Spine Next Sa Piece de liaison semi-rigide pour la stabilisation du rachis
FR2812186B1 (fr) 2000-07-25 2003-02-28 Spine Next Sa Piece de liaison souple pour la stabilisation du rachis
US7833250B2 (en) 2004-11-10 2010-11-16 Jackson Roger P Polyaxial bone screw with helically wound capture connection
US6733531B1 (en) * 2000-10-20 2004-05-11 Sdgi Holdings, Inc. Anchoring devices and implants for intervertebral disc augmentation
US8292926B2 (en) * 2005-09-30 2012-10-23 Jackson Roger P Dynamic stabilization connecting member with elastic core and outer sleeve
US10258382B2 (en) 2007-01-18 2019-04-16 Roger P. Jackson Rod-cord dynamic connection assemblies with slidable bone anchor attachment members along the cord
US7862587B2 (en) 2004-02-27 2011-01-04 Jackson Roger P Dynamic stabilization assemblies, tool set and method
US10729469B2 (en) 2006-01-09 2020-08-04 Roger P. Jackson Flexible spinal stabilization assembly with spacer having off-axis core member
US8353932B2 (en) 2005-09-30 2013-01-15 Jackson Roger P Polyaxial bone anchor assembly with one-piece closure, pressure insert and plastic elongate member
US7285121B2 (en) * 2001-11-05 2007-10-23 Warsaw Orthopedic, Inc. Devices and methods for the correction and treatment of spinal deformities
EP1539005B1 (fr) * 2002-08-25 2018-04-18 Versitech Limited Dispositif pour corriger les malformations de la colonne vertebrale
US8876868B2 (en) 2002-09-06 2014-11-04 Roger P. Jackson Helical guide and advancement flange with radially loaded lip
US7682392B2 (en) 2002-10-30 2010-03-23 Depuy Spine, Inc. Regenerative implants for stabilizing the spine and devices for attachment of said implants
US8540753B2 (en) 2003-04-09 2013-09-24 Roger P. Jackson Polyaxial bone screw with uploaded threaded shank and method of assembly and use
US7621918B2 (en) 2004-11-23 2009-11-24 Jackson Roger P Spinal fixation tool set and method
US7473267B2 (en) 2003-04-25 2009-01-06 Warsaw Orthopedic, Inc. System and method for minimally invasive posterior fixation
US7377923B2 (en) 2003-05-22 2008-05-27 Alphatec Spine, Inc. Variable angle spinal screw assembly
US6986771B2 (en) * 2003-05-23 2006-01-17 Globus Medical, Inc. Spine stabilization system
US7255700B2 (en) * 2003-06-18 2007-08-14 Biomet Sports Medicine, Inc. Device and method of fastening a graft to a bone
US8366753B2 (en) 2003-06-18 2013-02-05 Jackson Roger P Polyaxial bone screw assembly with fixed retaining structure
US7776067B2 (en) 2005-05-27 2010-08-17 Jackson Roger P Polyaxial bone screw with shank articulation pressure insert and method
US7766915B2 (en) 2004-02-27 2010-08-03 Jackson Roger P Dynamic fixation assemblies with inner core and outer coil-like member
US8092500B2 (en) 2007-05-01 2012-01-10 Jackson Roger P Dynamic stabilization connecting member with floating core, compression spacer and over-mold
US7967850B2 (en) 2003-06-18 2011-06-28 Jackson Roger P Polyaxial bone anchor with helical capture connection, insert and dual locking assembly
US8936623B2 (en) 2003-06-18 2015-01-20 Roger P. Jackson Polyaxial bone screw assembly
US7794476B2 (en) * 2003-08-08 2010-09-14 Warsaw Orthopedic, Inc. Implants formed of shape memory polymeric material for spinal fixation
WO2005037150A1 (fr) * 2003-10-16 2005-04-28 Osteotech, Inc. Systeme et procede de correction sans fusion de segment mobile osseux
US7527638B2 (en) 2003-12-16 2009-05-05 Depuy Spine, Inc. Methods and devices for minimally invasive spinal fixation element placement
US11419642B2 (en) 2003-12-16 2022-08-23 Medos International Sarl Percutaneous access devices and bone anchor assemblies
US7179261B2 (en) 2003-12-16 2007-02-20 Depuy Spine, Inc. Percutaneous access devices and bone anchor assemblies
US8029548B2 (en) * 2008-05-05 2011-10-04 Warsaw Orthopedic, Inc. Flexible spinal stabilization element and system
US9050148B2 (en) 2004-02-27 2015-06-09 Roger P. Jackson Spinal fixation tool attachment structure
US8152810B2 (en) 2004-11-23 2012-04-10 Jackson Roger P Spinal fixation tool set and method
US7160300B2 (en) 2004-02-27 2007-01-09 Jackson Roger P Orthopedic implant rod reduction tool set and method
AU2004317551B2 (en) 2004-02-27 2008-12-04 Roger P. Jackson Orthopedic implant rod reduction tool set and method
US8523904B2 (en) 2004-03-09 2013-09-03 The Board Of Trustees Of The Leland Stanford Junior University Methods and systems for constraint of spinous processes with attachment
US7458981B2 (en) 2004-03-09 2008-12-02 The Board Of Trustees Of The Leland Stanford Junior University Spinal implant and method for restricting spinal flexion
CA2557975A1 (fr) * 2004-03-23 2005-10-06 Warsaw Orthopedic, Inc. Procede et dispositif destines a la fixation de la colonne vertebrale et visant a corriger les deformations de la colonne vertebrale
US8070816B2 (en) * 2004-03-29 2011-12-06 3Hbfm, Llc Arthroplasty spinal prosthesis and insertion device
US9055984B2 (en) * 2004-04-21 2015-06-16 DePuy Synthes Products, Inc. Sternal reconstruction system
US7704252B2 (en) 2004-04-21 2010-04-27 Synthes Usa, Llc Sternal reconstruction system
US20050267470A1 (en) * 2004-05-13 2005-12-01 Mcbride Duncan Q Spinal stabilization system to flexibly connect vertebrae
US7901435B2 (en) 2004-05-28 2011-03-08 Depuy Spine, Inc. Anchoring systems and methods for correcting spinal deformities
US8034085B2 (en) 2004-05-28 2011-10-11 Depuy Spine, Inc. Non-fusion spinal correction systems and methods
US7955357B2 (en) 2004-07-02 2011-06-07 Ellipse Technologies, Inc. Expandable rod system to treat scoliosis and method of using the same
US8114158B2 (en) 2004-08-03 2012-02-14 Kspine, Inc. Facet device and method
US20060036324A1 (en) 2004-08-03 2006-02-16 Dan Sachs Adjustable spinal implant device and method
US7651502B2 (en) 2004-09-24 2010-01-26 Jackson Roger P Spinal fixation tool set and method for rod reduction and fastener insertion
WO2006049993A2 (fr) * 2004-10-28 2006-05-11 Axial Biotech, Inc. Appareil et procede pour expansion concave de scoliose
EP1811911A4 (fr) 2004-11-10 2012-01-11 Roger P Jackson Guide helicoidal et rebord de glissement comportant des prolongements cassables
US8926672B2 (en) 2004-11-10 2015-01-06 Roger P. Jackson Splay control closure for open bone anchor
US8444681B2 (en) 2009-06-15 2013-05-21 Roger P. Jackson Polyaxial bone anchor with pop-on shank, friction fit retainer and winged insert
US9216041B2 (en) 2009-06-15 2015-12-22 Roger P. Jackson Spinal connecting members with tensioned cords and rigid sleeves for engaging compression inserts
US9168069B2 (en) 2009-06-15 2015-10-27 Roger P. Jackson Polyaxial bone anchor with pop-on shank and winged insert with lower skirt for engaging a friction fit retainer
US9980753B2 (en) 2009-06-15 2018-05-29 Roger P Jackson pivotal anchor with snap-in-place insert having rotation blocking extensions
ATE524121T1 (de) 2004-11-24 2011-09-15 Abdou Samy Vorrichtungen zur platzierung eines orthopädischen intervertebralen implantats
US10076361B2 (en) 2005-02-22 2018-09-18 Roger P. Jackson Polyaxial bone screw with spherical capture, compression and alignment and retention structures
US7901437B2 (en) 2007-01-26 2011-03-08 Jackson Roger P Dynamic stabilization member with molded connection
CN101170966A (zh) 2005-04-01 2008-04-30 科罗拉多州立大学董事会 移植物固定装置和方法
US7708762B2 (en) * 2005-04-08 2010-05-04 Warsaw Orthopedic, Inc. Systems, devices and methods for stabilization of the spinal column
CN100563591C (zh) * 2005-05-02 2009-12-02 活动脊柱技术有限公司 脊柱稳定植入物
US8147521B1 (en) * 2005-07-20 2012-04-03 Nuvasive, Inc. Systems and methods for treating spinal deformities
US7766946B2 (en) * 2005-07-27 2010-08-03 Frank Emile Bailly Device for securing spinal rods
US9072554B2 (en) 2005-09-21 2015-07-07 Children's Hospital Medical Center Orthopedic implant
US8105368B2 (en) 2005-09-30 2012-01-31 Jackson Roger P Dynamic stabilization connecting member with slitted core and outer sleeve
US8357181B2 (en) 2005-10-27 2013-01-22 Warsaw Orthopedic, Inc. Intervertebral prosthetic device for spinal stabilization and method of implanting same
US8034078B2 (en) 2008-05-30 2011-10-11 Globus Medical, Inc. System and method for replacement of spinal motion segment
US7704271B2 (en) 2005-12-19 2010-04-27 Abdou M Samy Devices and methods for inter-vertebral orthopedic device placement
US7578849B2 (en) 2006-01-27 2009-08-25 Warsaw Orthopedic, Inc. Intervertebral implants and methods of use
US7815663B2 (en) * 2006-01-27 2010-10-19 Warsaw Orthopedic, Inc. Vertebral rods and methods of use
US7682376B2 (en) 2006-01-27 2010-03-23 Warsaw Orthopedic, Inc. Interspinous devices and methods of use
WO2007114834A1 (fr) 2006-04-05 2007-10-11 Dong Myung Jeon Ensemble de vis a os multiaxial a verrouillage double
EP1847278A1 (fr) * 2006-04-13 2007-10-24 Camlog Biotechnologies AG Revêtements bio-dissolubles des implants pour la protection contre des impuretés organiques
US8303660B1 (en) 2006-04-22 2012-11-06 Samy Abdou Inter-vertebral disc prosthesis with variable rotational stop and methods of use
US8337528B2 (en) 2006-11-28 2012-12-25 Anova Corporation Methods and apparatus for stabilizing a spinal segment
US9017388B2 (en) * 2006-09-14 2015-04-28 Warsaw Orthopedic, Inc. Methods for correcting spinal deformities
US7988711B2 (en) * 2006-09-21 2011-08-02 Warsaw Orthopedic, Inc. Low profile vertebral stabilization systems and methods
US7842037B2 (en) * 2006-09-27 2010-11-30 Dupuy Products, Inc. Flexible bone fixation device
US8187307B2 (en) * 2006-10-19 2012-05-29 Simpirica Spine, Inc. Structures and methods for constraining spinal processes with single connector
US8162982B2 (en) 2006-10-19 2012-04-24 Simpirica Spine, Inc. Methods and systems for constraint of multiple spine segments
US8029541B2 (en) 2006-10-19 2011-10-04 Simpirica Spine, Inc. Methods and systems for laterally stabilized constraint of spinous processes
US7862502B2 (en) 2006-10-20 2011-01-04 Ellipse Technologies, Inc. Method and apparatus for adjusting a gastrointestinal restriction device
DE102006055599B4 (de) * 2006-11-24 2016-01-07 Peter Brehm Orthopädische Befestigungsvorrichtung und Vorrichtung zur Korrektur einer Wirbelsäulendeformität
US8454662B2 (en) * 2006-12-08 2013-06-04 Warsaw Orthopedic, Inc. Tethers with strength limits for treating vertebral members
US20080140202A1 (en) * 2006-12-08 2008-06-12 Randall Noel Allard Energy-Storing Spinal Implants and Methods of Use
CA2670988C (fr) 2006-12-08 2014-03-25 Roger P. Jackson Systeme d'instruments pour implants rachidiens dynamiques
US8758407B2 (en) 2006-12-21 2014-06-24 Warsaw Orthopedic, Inc. Methods for positioning a load-bearing orthopedic implant device in vivo
US7771476B2 (en) 2006-12-21 2010-08-10 Warsaw Orthopedic Inc. Curable orthopedic implant devices configured to harden after placement in vivo by application of a cure-initiating energy before insertion
US8663328B2 (en) 2006-12-21 2014-03-04 Warsaw Orthopedic, Inc. Methods for positioning a load-bearing component of an orthopedic implant device by inserting a malleable device that hardens in vivo
US8480718B2 (en) 2006-12-21 2013-07-09 Warsaw Orthopedic, Inc. Curable orthopedic implant devices configured to be hardened after placement in vivo
US7931676B2 (en) 2007-01-18 2011-04-26 Warsaw Orthopedic, Inc. Vertebral stabilizer
US8366745B2 (en) 2007-05-01 2013-02-05 Jackson Roger P Dynamic stabilization assembly having pre-compressed spacers with differential displacements
US8475498B2 (en) 2007-01-18 2013-07-02 Roger P. Jackson Dynamic stabilization connecting member with cord connection
US20090030466A1 (en) * 2007-01-31 2009-01-29 Strauss Kevin R Anterior vertebral plate with suture lock
US8012177B2 (en) 2007-02-12 2011-09-06 Jackson Roger P Dynamic stabilization assembly with frusto-conical connection
US8337529B2 (en) 2007-02-13 2012-12-25 Anova Corp. Methods of bone, joint, and ligament reconstruction
US8470002B2 (en) 2007-02-20 2013-06-25 Warsaw Orthopedic, Inc. Resorbable release mechanism for a surgical tether and methods of use
US20080255615A1 (en) * 2007-03-27 2008-10-16 Warsaw Orthopedic, Inc. Treatments for Correcting Spinal Deformities
US20080269805A1 (en) * 2007-04-25 2008-10-30 Warsaw Orthopedic, Inc. Methods for correcting spinal deformities
US8241362B2 (en) * 2007-04-26 2012-08-14 Voorhies Rand M Lumbar disc replacement implant for posterior implantation with dynamic spinal stabilization device and method
EP2142121B1 (fr) 2007-04-30 2014-04-16 Globus Medical, Inc. Système souple de stabilisation de la colonne vertébrale
US10383660B2 (en) 2007-05-01 2019-08-20 Roger P. Jackson Soft stabilization assemblies with pretensioned cords
CA2690038C (fr) 2007-05-31 2012-11-27 Roger P. Jackson Element de raccord a stabilisation dynamique avec noyau solide precontraint
EP2155086B1 (fr) 2007-06-06 2016-05-04 K2M, Inc. Dispositif médical de correction d'une difformité
US20100036424A1 (en) 2007-06-22 2010-02-11 Simpirica Spine, Inc. Methods and systems for increasing the bending stiffness and constraining the spreading of a spinal segment
EP2182864B1 (fr) * 2007-06-22 2016-06-08 Empirical Spine, Inc. Dispositifs pour restreindre de façon contrôlée la flexion de segments rachidiens
US8177810B2 (en) * 2007-07-17 2012-05-15 Anova Corporation Methods of annulus and ligament reconstruction using flexible devices
US20090088803A1 (en) * 2007-10-01 2009-04-02 Warsaw Orthopedic, Inc. Flexible members for correcting spinal deformities
US8911477B2 (en) 2007-10-23 2014-12-16 Roger P. Jackson Dynamic stabilization member with end plate support and cable core extension
US11202707B2 (en) 2008-03-25 2021-12-21 Nuvasive Specialized Orthopedics, Inc. Adjustable implant system
US7909857B2 (en) * 2008-03-26 2011-03-22 Warsaw Orthopedic, Inc. Devices and methods for correcting spinal deformities
US8292930B2 (en) * 2008-05-06 2012-10-23 Warsaw Orthopedic, Inc. Tethering devices and methods to treat a spinal deformity
US8685026B2 (en) 2008-05-23 2014-04-01 Warsaw Orthopedic, Inc. Devices and methods for releasing tension on a surgical tether
EP2296566A4 (fr) * 2008-06-06 2013-01-02 Simpirica Spine Inc Méthodes et appareil de mise en place d'éléments de contrainte de l'apophyse épineuse
US8308771B2 (en) 2008-06-06 2012-11-13 Simpirica Spine, Inc. Methods and apparatus for locking a band
US8414584B2 (en) 2008-07-09 2013-04-09 Icon Orthopaedic Concepts, Llc Ankle arthrodesis nail and outrigger assembly
WO2010006195A1 (fr) 2008-07-09 2010-01-14 Amei Technologies, Inc. Clou d'arthrodèse de cheville et ensemble stabilisateur
JP2012529969A (ja) 2008-08-01 2012-11-29 ロジャー・ピー・ジャクソン スリーブ付き張力付与りコードを備える長手方向接続部材
US20100036425A1 (en) * 2008-08-06 2010-02-11 K2M, Inc. Anti-torsion spine fixation device
US8382756B2 (en) 2008-11-10 2013-02-26 Ellipse Technologies, Inc. External adjustment device for distraction device
US8828058B2 (en) 2008-11-11 2014-09-09 Kspine, Inc. Growth directed vertebral fixation system with distractible connector(s) and apical control
US8043338B2 (en) * 2008-12-03 2011-10-25 Zimmer Spine, Inc. Adjustable assembly for correcting spinal abnormalities
US8118840B2 (en) 2009-02-27 2012-02-21 Warsaw Orthopedic, Inc. Vertebral rod and related method of manufacture
US8562653B2 (en) 2009-03-10 2013-10-22 Simpirica Spine, Inc. Surgical tether apparatus and methods of use
JP5681122B2 (ja) 2009-03-10 2015-03-04 シンピライカ スパイン， インコーポレイテッド 外科用テザー装置および使用方法
WO2010104935A1 (fr) 2009-03-10 2010-09-16 Simpirica Spine, Inc. Dispositif d'attache chirurgicale et procédés d'utilisation
US8357182B2 (en) 2009-03-26 2013-01-22 Kspine, Inc. Alignment system with longitudinal support features
WO2010114853A1 (fr) * 2009-03-30 2010-10-07 Simpirica Spine, Inc. Procédés et appareils destinés à améliorer la capacité de charge de cisaillement d'un segment spinal
US9622792B2 (en) 2009-04-29 2017-04-18 Nuvasive Specialized Orthopedics, Inc. Interspinous process device and method
USD698021S1 (en) 2009-05-12 2014-01-21 Ethicon, Inc. Surgical fastener
US9055945B2 (en) 2009-05-12 2015-06-16 Ethicon, Inc. Surgical fasteners having articulating joints and deflectable tips
US8728099B2 (en) * 2009-05-12 2014-05-20 Ethicon, Inc. Surgical fasteners, applicator instruments, and methods for deploying surgical fasteners
US8920439B2 (en) * 2009-05-12 2014-12-30 Ethicon, Inc. Applicator instruments having curved and articulating shafts for deploying surgical fasteners and methods therefor
USD744646S1 (en) 2009-05-12 2015-12-01 Ethicon, Inc. Surgical fastener
US8894669B2 (en) 2009-05-12 2014-11-25 Ethicon, Inc. Surgical fasteners, applicator instruments, and methods for deploying surgical fasteners
US8728098B2 (en) * 2009-05-12 2014-05-20 Ethicon, Inc. Surgical fasteners, applicator instruments, and methods for deploying surgical fasteners
US8579920B2 (en) 2009-05-12 2013-11-12 Ethicon, Inc. Surgical fasteners, applicator instruments, and methods for deploying surgical fasteners
CN103917181A (zh) 2009-06-15 2014-07-09 罗杰.P.杰克逊 包括套接杆和具有低外形边缘锁的摩擦配合保持件的多轴骨锚
EP2757988A4 (fr) 2009-06-15 2015-08-19 Jackson Roger P Dispositif d'ancrage osseux polyaxial doté d'une tige à enclenchement par pression et insert à ailettes à pince de compression à ajustement par friction
US11229457B2 (en) 2009-06-15 2022-01-25 Roger P. Jackson Pivotal bone anchor assembly with insert tool deployment
US9668771B2 (en) 2009-06-15 2017-06-06 Roger P Jackson Soft stabilization assemblies with off-set connector
US8998959B2 (en) 2009-06-15 2015-04-07 Roger P Jackson Polyaxial bone anchors with pop-on shank, fully constrained friction fit retainer and lock and release insert
US8876867B2 (en) 2009-06-24 2014-11-04 Zimmer Spine, Inc. Spinal correction tensioning system
US8105360B1 (en) 2009-07-16 2012-01-31 Orthonex LLC Device for dynamic stabilization of the spine
US9168071B2 (en) 2009-09-15 2015-10-27 K2M, Inc. Growth modulation system
US9011494B2 (en) 2009-09-24 2015-04-21 Warsaw Orthopedic, Inc. Composite vertebral rod system and methods of use
WO2011043805A1 (fr) 2009-10-05 2011-04-14 Roger Jackson P Ancrage osseux polyaxial avec élément de rétention non rotatif et tige fixée par pression, et ajustement par frottement
US8211151B2 (en) * 2009-10-30 2012-07-03 Warsaw Orthopedic Devices and methods for dynamic spinal stabilization and correction of spinal deformities
US9138264B2 (en) * 2009-11-02 2015-09-22 Life Spine, Inc. Laminoplasty rod system
US8764806B2 (en) 2009-12-07 2014-07-01 Samy Abdou Devices and methods for minimally invasive spinal stabilization and instrumentation
FR2954905B1 (fr) 2010-01-06 2012-12-28 Implanet Dispositif de fixation vertebrale
US10219842B2 (en) * 2010-03-23 2019-03-05 Scapa Flow, Llc Cervical link system
US9248043B2 (en) 2010-06-30 2016-02-02 Ellipse Technologies, Inc. External adjustment device for distraction device
EP2613719A1 (fr) 2010-09-08 2013-07-17 Roger P. Jackson Membres de stabilisation dynamiques dotés de sections élastiques et non élastiques
DE112011103644T5 (de) 2010-11-02 2013-12-24 Roger P. Jackson Polyaxialer Knochenanker mit Schnellsteck-Schaft und drehbarer Halterung
US8721566B2 (en) 2010-11-12 2014-05-13 Robert A. Connor Spinal motion measurement device
WO2012112396A2 (fr) 2011-02-14 2012-08-23 Ellipse Technologies, Inc. Dispositif et méthode de traitement d'os fracturés
US9427493B2 (en) 2011-03-07 2016-08-30 The Regents Of The University Of Colorado Shape memory polymer intraocular lenses
US8992579B1 (en) * 2011-03-08 2015-03-31 Nuvasive, Inc. Lateral fixation constructs and related methods
WO2012128825A1 (fr) 2011-03-24 2012-09-27 Jackson Roger P Ancrage osseux polyaxial avec articulation composée et tige enclipsable
CA2838047A1 (fr) 2011-06-03 2012-12-06 Kspine, Inc. Actionneurs de systeme de correction de colonne vertebrale
EP4275632A3 (fr) 2011-09-14 2024-02-14 OrthoPediatrics Corp. Pince d'attache et système d'implant
US11026722B2 (en) 2011-09-14 2021-06-08 Orthopediatrics Corp. Orthopedic tethered implants and system
US8845728B1 (en) 2011-09-23 2014-09-30 Samy Abdou Spinal fixation devices and methods of use
US10743794B2 (en) 2011-10-04 2020-08-18 Nuvasive Specialized Orthopedics, Inc. Devices and methods for non-invasive implant length sensing
CN103987327A (zh) 2011-10-05 2014-08-13 马克·A·多德森 模块化牵开器及相关方法
US8657855B2 (en) 2011-10-17 2014-02-25 Warsaw Orthopedic, Inc. Spinal fixation implant for mounting to spinous processes and related method
US10016220B2 (en) 2011-11-01 2018-07-10 Nuvasive Specialized Orthopedics, Inc. Adjustable magnetic devices and methods of using same
US9468468B2 (en) 2011-11-16 2016-10-18 K2M, Inc. Transverse connector for spinal stabilization system
US9468469B2 (en) 2011-11-16 2016-10-18 K2M, Inc. Transverse coupler adjuster spinal correction systems and methods
WO2014172632A2 (fr) 2011-11-16 2014-10-23 Kspine, Inc. Correction et stabilisation secondaire de la colonne vertébrale
US9451987B2 (en) 2011-11-16 2016-09-27 K2M, Inc. System and method for spinal correction
US8920472B2 (en) 2011-11-16 2014-12-30 Kspine, Inc. Spinal correction and secondary stabilization
US8911479B2 (en) 2012-01-10 2014-12-16 Roger P. Jackson Multi-start closures for open implants
US8961570B2 (en) 2012-01-24 2015-02-24 Warsaw Othopedic, Inc. Spinal correction system and method
US20130226240A1 (en) 2012-02-22 2013-08-29 Samy Abdou Spinous process fixation devices and methods of use
US9060815B1 (en) 2012-03-08 2015-06-23 Nuvasive, Inc. Systems and methods for performing spine surgery
US9198767B2 (en) 2012-08-28 2015-12-01 Samy Abdou Devices and methods for spinal stabilization and instrumentation
US9320617B2 (en) 2012-10-22 2016-04-26 Cogent Spine, LLC Devices and methods for spinal stabilization and instrumentation
RU2017126066A (ru) 2012-10-29 2019-01-31 Нувэйсив Спешилайзд Ортопэдикс, Инк. Корректируемые устройства для лечения артрита колена
US8911478B2 (en) 2012-11-21 2014-12-16 Roger P. Jackson Splay control closure for open bone anchor
US10058354B2 (en) 2013-01-28 2018-08-28 Roger P. Jackson Pivotal bone anchor assembly with frictional shank head seating surfaces
US20140214081A1 (en) * 2013-01-31 2014-07-31 Warsaw Orthopedic, Inc. Spinal implant system and method
US8852239B2 (en) 2013-02-15 2014-10-07 Roger P Jackson Sagittal angle screw with integral shank and receiver
WO2014143862A1 (fr) 2013-03-15 2014-09-18 Shriners Hospitals For Children Procédés et techniques pour une chirurgie vertébrale
US9468471B2 (en) 2013-09-17 2016-10-18 K2M, Inc. Transverse coupler adjuster spinal correction systems and methods
US9517089B1 (en) 2013-10-08 2016-12-13 Nuvasive, Inc. Bone anchor with offset rod connector
US10751094B2 (en) 2013-10-10 2020-08-25 Nuvasive Specialized Orthopedics, Inc. Adjustable spinal implant
FR3012032B1 (fr) 2013-10-18 2015-12-11 Implanet Dispositif et systeme de fixation vertebrale pour maintien d'une vertebre sur une tige, methode de blocage d'une boucle avec un tel dispositif.
US9566092B2 (en) 2013-10-29 2017-02-14 Roger P. Jackson Cervical bone anchor with collet retainer and outer locking sleeve
US9717533B2 (en) 2013-12-12 2017-08-01 Roger P. Jackson Bone anchor closure pivot-splay control flange form guide and advancement structure
US9451993B2 (en) 2014-01-09 2016-09-27 Roger P. Jackson Bi-radial pop-on cervical bone anchor
WO2015168175A1 (fr) 2014-04-28 2015-11-05 Ellipse Technologies, Inc. Système de retour magnétique informationnel dans des implants réglables
US10064658B2 (en) 2014-06-04 2018-09-04 Roger P. Jackson Polyaxial bone anchor with insert guides
US9597119B2 (en) 2014-06-04 2017-03-21 Roger P. Jackson Polyaxial bone anchor with polymer sleeve
CN107530108A (zh) 2014-12-03 2018-01-02 S.马利 理查德 具有系绳带的骨植入体
AU2015371247B2 (en) 2014-12-26 2020-06-04 Nuvasive Specialized Orthopedics, Inc. Systems and methods for distraction
WO2016134326A2 (fr) 2015-02-19 2016-08-25 Nuvasive, Inc. Systèmes et procédés pour ajustement vertébral
US10080615B2 (en) 2015-08-12 2018-09-25 Globus Medical, Inc. Devices and methods for temporary mounting of parts to bone
US10857003B1 (en) 2015-10-14 2020-12-08 Samy Abdou Devices and methods for vertebral stabilization
KR20180067632A (ko) 2015-10-16 2018-06-20 누베이시브 스페셜라이즈드 오소페딕스, 인크. 무릎의 관절염을 치료하기 위한 조정 가능한 장치
EP3386405B1 (fr) 2015-12-10 2023-11-01 NuVasive Specialized Orthopedics, Inc. Dispositif d'ajustement externe pour dispositif de distraction
EP3405129B1 (fr) 2016-01-19 2021-06-23 K2M, Inc. Système de correction vertébrale
JP6888015B2 (ja) 2016-01-28 2021-06-16 ニューベイシブ スペシャライズド オーソペディックス，インコーポレイテッド 骨移動のためのシステム
US10456172B2 (en) 2016-02-12 2019-10-29 Nuvasive, Inc. Magnetically actuateable rod insertion for minimally invasive surgery
WO2017139785A1 (fr) 2016-02-12 2017-08-17 Nuvasive, Inc. Dispositifs de fixation vertébrale à réglage postopératoire
US10973648B1 (en) 2016-10-25 2021-04-13 Samy Abdou Devices and methods for vertebral bone realignment
US10744000B1 (en) 2016-10-25 2020-08-18 Samy Abdou Devices and methods for vertebral bone realignment
US10939941B2 (en) 2017-08-29 2021-03-09 Zimmer Biomet Spine, Inc. Surgical cord tensioning devices, systems, and methods
ES2900054T3 (es) 2017-08-29 2022-03-15 Zimmer Biomet Spine Inc Sistemas tensores de cordón quirúrgico
US11179248B2 (en) 2018-10-02 2021-11-23 Samy Abdou Devices and methods for spinal implantation
US11712272B2 (en) 2018-12-18 2023-08-01 Frank J. Schwab Technologies for lines coupled to spines
CN111938796B (zh) * 2020-08-25 2023-01-31 龚锡奎 一种简易脊柱翻修术融合组件

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4966600A (en) * 1989-01-26 1990-10-30 Songer Robert J Surgical securance method
US5147360A (en) * 1990-02-19 1992-09-15 Societe De Fabrication De Materiel Orthopedique Osteosynthesis device for the correction of spinal curvatures
WO1996017544A2 (fr) * 1994-11-30 1996-06-13 Smith & Nephew Richards Inc Appareillage de fixation par cable noue, constitue de fibres polymeres tressees
US5702395A (en) 1992-11-10 1997-12-30 Sofamor S.N.C. Spine osteosynthesis instrumentation for an anterior approach
US5704936A (en) * 1992-04-10 1998-01-06 Eurosurgical Spinal osteosynthesis device

Family Cites Families (46)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3693616A (en) 1970-06-26 1972-09-26 Robert Roaf Device for correcting scoliotic curves
GB1551705A (en) 1975-04-28 1979-08-30 Downs Surgicial Ltd Surgial implant
GB1551706A (en) 1975-04-28 1979-08-30 Downs Surgical Ltd Surgical implant
FI53062C (fr) 1975-05-30 1978-02-10 Erkki Einari Nissinen
JPS5651995A (en) 1979-10-05 1981-05-09 Green Cross Corp:The Preparation of interferon
US4570618A (en) 1983-11-23 1986-02-18 Henry Ford Hospital Intervertebral body wire stabilization
GB8333442D0 (en) 1983-12-15 1984-01-25 Showell A W Sugicraft Ltd Devices for spinal fixation
US4573454A (en) 1984-05-17 1986-03-04 Hoffman Gregory A Spinal fixation apparatus
ZA875425B (en) 1986-07-23 1988-04-27 Gore & Ass Mechanical ligament
JPH07102B2 (ja) 1986-10-09 1995-01-11 日本商事株式会社 脊椎固定用糸
US4790303A (en) * 1987-03-11 1988-12-13 Acromed Corporation Apparatus and method for securing bone graft
US4913134A (en) 1987-07-24 1990-04-03 Biotechnology, Inc. Spinal fixation system
US5147359A (en) * 1988-12-21 1992-09-15 Zimmer, Inc. Spinal hook body
US4870957A (en) 1988-12-27 1989-10-03 Marlowe Goble E Ligament anchor system
US5116340A (en) 1989-01-26 1992-05-26 Songer Robert J Surgical securance apparatus
FR2642645B1 (fr) 1989-02-03 1992-08-14 Breard Francis Stabilisateur intervertebral souple ainsi que procede et appareillage pour le controle de sa tension avant mise en place sur le rachis
US4955910A (en) 1989-07-17 1990-09-11 Boehringer Mannheim Corporation Fixation system for an elongated prosthesis
FR2666981B1 (fr) 1990-09-21 1993-06-25 Commarmond Jacques Ligament synthetique vertebral.
FR2684289B1 (fr) 1991-12-03 1998-04-24 Christian Mai Implant intra-cortical, notamment pour la fixation de ligament.
US5318566A (en) 1992-06-22 1994-06-07 Danek Medical, Inc. Sternotomy cable and method
FR2693364B1 (fr) 1992-07-07 1995-06-30 Erpios Snc Prothese intervertebrale permettant une stabilisation des contraintes rotatoires et de flexion-extension.
GB9217578D0 (en) 1992-08-19 1992-09-30 Surgicarft Ltd Surgical implants,etc
US5456722A (en) 1993-01-06 1995-10-10 Smith & Nephew Richards Inc. Load bearing polymeric cable
US5496318A (en) 1993-01-08 1996-03-05 Advanced Spine Fixation Systems, Inc. Interspinous segmental spine fixation device
US5306301A (en) 1993-02-11 1994-04-26 American Cyanamid Company Graft attachment device and method of using same
US5415661A (en) 1993-03-24 1995-05-16 University Of Miami Implantable spinal assist device
US5540698A (en) 1993-04-21 1996-07-30 Amei Technologies Inc. System and method for securing a medical cable
US5476465A (en) 1993-04-21 1995-12-19 Amei Technologies Inc. Surgical cable crimp
FR2704745B1 (fr) 1993-05-07 1995-11-24 Erpios Dispositif de liaison des extrémités d'un ligament d'ostéosynthèse, notamment d'ostéosynthèse vertébrale.
US5423820A (en) 1993-07-20 1995-06-13 Danek Medical, Inc. Surgical cable and crimp
US5417690A (en) 1993-09-20 1995-05-23 Codman & Shurtleff, Inc. Surgical cable
WO1995010238A1 (fr) 1993-10-08 1995-04-20 Chaim Rogozinski Appareil et procede de traitement de la colonne vertebrale au moyen d'un element de fixation multidirectionnel
CA2141911C (fr) 1994-02-24 2002-04-23 Jude S. Sauer Dispositif de sertissage chirurgical et mode d'emploi
US5536270A (en) 1994-02-24 1996-07-16 Pioneer Laboratories, Inc. Cable system for bone securance
US5545168A (en) 1994-03-11 1996-08-13 Burke; Dennis W. Apparatus for both tensioning and crimping a surgical wire
US5720747A (en) 1994-03-11 1998-02-24 Burke; Dennis W. Apparatus for crimping a surgical wire
US5569253A (en) 1994-03-29 1996-10-29 Danek Medical, Inc. Variable-angle surgical cable crimp assembly and method
US5653711A (en) 1994-08-08 1997-08-05 Kijuro Hayano Wire fastening tool
US5649927A (en) 1995-09-27 1997-07-22 Pioneer Laboratories, Inc. Cable crimp system
AU1352097A (en) * 1995-12-22 1997-07-17 Ohio Medical Instrument Company, Inc. Spinal fixation device with laterally attachable connectors
US5702399A (en) 1996-05-16 1997-12-30 Pioneer Laboratories, Inc. Surgical cable screw connector
US5741255A (en) * 1996-06-05 1998-04-21 Acromed Corporation Spinal column retaining apparatus
DE19628147C2 (de) 1996-07-12 2003-02-20 Aesculap Ag & Co Kg Chirurgische Vorrichtung zum Fixieren von Knochenelementen
JP2871620B2 (ja) * 1996-09-06 1999-03-17 株式会社ロバート・リード商会 骨固定装置
US5810815A (en) * 1996-09-20 1998-09-22 Morales; Jose A. Surgical apparatus for use in the treatment of spinal deformities
US6033429A (en) * 1998-01-13 2000-03-07 Cardiac Assist Technologies, Inc. System, apparatus and method for closing severed bone or tissue of a patient

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4966600A (en) * 1989-01-26 1990-10-30 Songer Robert J Surgical securance method
US5147360A (en) * 1990-02-19 1992-09-15 Societe De Fabrication De Materiel Orthopedique Osteosynthesis device for the correction of spinal curvatures
US5704936A (en) * 1992-04-10 1998-01-06 Eurosurgical Spinal osteosynthesis device
US5702395A (en) 1992-11-10 1997-12-30 Sofamor S.N.C. Spine osteosynthesis instrumentation for an anterior approach
WO1996017544A2 (fr) * 1994-11-30 1996-06-13 Smith & Nephew Richards Inc Appareillage de fixation par cable noue, constitue de fibres polymeres tressees

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
A.F.DWYER ET AL.: "An Anterior Approach to Scoliosis", CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, no. 62, January 1969 (1969-01-01) - February 1969 (1969-02-01), pages 192 - 202, XP000925391 *

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7909826B2 (en) 2005-03-24 2011-03-22 Depuy Spine, Inc. Low profile spinal tethering methods
US8123749B2 (en) 2005-03-24 2012-02-28 Depuy Spine, Inc. Low profile spinal tethering systems
US8273086B2 (en) 2005-03-24 2012-09-25 Depuy Spine, Inc. Low profile spinal tethering devices
US8888818B2 (en) 2005-03-24 2014-11-18 DePuy Synthes Products, LLC Low profile spinal tethering methods
US9492165B2 (en) 2005-03-24 2016-11-15 DePuy Synthes Products, Inc. Low profile spinal tethering devices
US10194954B2 (en) 2005-03-24 2019-02-05 DePuy Synthes Products, Inc. Low profile spinal tethering devices
US11103288B2 (en) 2005-03-24 2021-08-31 DePuy Synthes Products, Inc. Low profile spinal tethering devices
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft

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AU3919400A (en) 2000-11-10
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ATE309754T1 (de) 2005-12-15
CA2365899A1 (fr) 2000-11-02
EP1173101A1 (fr) 2002-01-23
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CA2365899C (fr) 2007-10-02
ES2251986T3 (es) 2006-05-16

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